The undersigned hereby consents to allow the Centre for ADHD Awareness, Canada (“CADDAC”) and its agents, for purposes of the promotion of CADDAC ADHD Speaks Awareness campaign (the “Purpose”):
to use my name, or not, as indicated below, image(s), audio recording or written material that may appear in any media form (such as photographs, posters, the internet, videos, newsletters, programs, or any other literature) that I or my agents have provided to CADDAC for the Purpose (collectively, the “Images”), and to do so without any compensation to me; and/or
to have the right to use all photographs of the Images (or any of them) as well as audio recordings or written material for the Purpose, including without limitation CADDAC website, social media and other platforms, and transmission and display on all media devices, without any compensation to me.
The contact information provided by the signee may be used by CADDAC to reach out to you regarding your submission.”
The contact information provided by the signee may be used by CADDAC to contact you regarding your submission.